MEDICARE: SADIE BECERRA ORTEGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1558178731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADIE BECERRA ORTEGA

Provider Business Mailing Address
First Line	:	731 GRAND AVE LOT 135
Second Line	:
City	:	PLATTEVILLE
State	:	CO
Zip	:	80651-7602
Country	:	US
Telephone Number	:	720-986-2474
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 GRAND AVE LOT 135
Second Line	:
City	:	PLATTEVILLE
State	:	CO
Zip	:	80651-7602
Country	:	US
Telephone Number	:	720-986-2474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2024
Last Update Date	:	12/12/2024

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Directions to “ SADIE BECERRA ORTEGA ” Practice Location

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